The holder whose full name is PENA, ADELA PERALTA,come from NORTHRIDGE CA,hold the Physician license(NO.01027253A) which status is Expired Non-Renewable.
Name | PENA, ADELA PERALTA |
---|---|
License Number | 01027253A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | NORTHRIDGE |
State | CA |